HomeMy WebLinkAboutPermit Electrical 1999-11-02CITY OF OFEGO'U
LOL
SP. ,GFIELO
Circuit or uith S
or Feeder Permit
SUBTOTAL OF ABOVE
.tr{ Sat" Surcharge
3Z Admini.s trative Fee
TOTAL
lt-2-a?\<r)
JOB DESCRIPTION
c
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if uork is suspended for
180 days.
2. CONTRACTOR INSTALLATTON ONLY
Electrical Contrac to, Lril'
Address 4<s ET--
Ci ty 5 ?PD Phone 1 +'l-oC t(
i tupervi.sor License Number 3o oG,-S
Expiration Darc /O -/- ZatP
OVNER INSTALI.ATION
The installation is being made on
property I own vhich is nol intended
for sale, lease or rent.
Ovners Signature:
DATE:
BI,ECTRICAL PERHIT APPLICATION
City Job Nurnbe 7
3. COMPIJTE FEE SCffiDIILE BELOV
A. New Residential-Single or
Mu1ti-Family per dvelling unit-
Service Included:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home. or
Modular'Dve1ling
Sertice or Feeder
s 8s.00
s 1s.00
s 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less I
20L amps to 400 amps _
401 amps to 600 amPs
-
60L amps to 1000 amPs-
0ver 1000 amps/vo1ts
-
Reconnect 0n1Y
C. Temp orary Services or Feeders
tion, Alteration or Relocat 10n
s 40.00
s ss.00
s 80.00
vo s see rrBrt a Sove
225 FIFTE STREET
SPRTNGFTELD, oREGoN 97477
INSPECTI0N REQLiEST : 726-37 69
0FPICE z 726-3759
OF INST1o ALLAPc{dc e_
7o
3s ^lC)o1Ol
o
I Sum
a
F
L
B
s s0.00
s 60.00
s 100. 00
s130.00
s300.00s 40.00
{o*
.5o
Constr Contr. lrumber O/ I3 fr S
Expiration DaEe /?- Zoo(less
400
Signa of Su sing Electrician
0ver
D. Branch Ci
Ovners N TJA
Address QSO 3 4or**Nev, Alterati
One Circuitctrv SltP Phone -? */ - Afo Each Additional
t
lr Per Panel
s 3s.00
ce $ 2.00
E. Mi.scellaneous (Service/feeder not included)
-Each installarion
Pump or irrigaEion
-
Sign/0utline Lighting-
Limi ted EnergY/Res
-
Limited EnergY/Comm
s4s4C,)
Sg
0.00
0.00
0.00
6. O0
5
RECEIVED B
1
0
Cc
55ro
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